About the Marketplace

Published Guidance & Regulations

Key regulations issuers must follow to participate in the Federally-facilitated Exchange (FFE). 

PY2021 Certification Timeline

Key milestones for issuers applying for qualified health plan (QHP) certification. 

State Exchange Models

Overview of the various state Exchange models, which determines which online system(s) issuers must use to submit their QHP Application. 

Individual vs. Small Business

Key differences in requirements for issuers participating in the Individual Market and the Small Business Health Options Program (SHOP) Market. 

New to the Exchange

Tips to help new issuers and those new to the process successfully certify their QHP. 

Account Managers

Account Managers are the primary point of contact for all non-technical QHP certification issues. 

Submission Systems: HIOS & SERFF

The Health Insurance Oversight System (HIOS) and the System for Electronic Rate & Form Filing (SERFF) are the two application submission systems for QHP certification.

Register for Updates

Get updates from CMS about QHP certification issues.